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NPI Code Detail

MEDICARE: KONGIT GIRGIRO

MEDICARE:   KONGIT  GIRGIRO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist41972TX

General Provider Information

NPI Number : 1558699421
Entity Type Code : Individual
Provider Name (Legal Business Name) : KONGIT GIRGIRO
Provider Business Mailing Address
First Line : 802 GREGORY CT
Second Line :
City : STAFFORD
State : TX
Zip : 77477-5840
Country : US
Telephone Number :
Fax Number : 832-725-6085
Provider Business Practice Location Address
First Line : 3317 MONTROSE BLVD
Second Line :
City : HOUSTON
State : TX
Zip : 77006-3931
Country : US
Telephone Number : 713-520-7777
Fax Number : 713-520-6049
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/03/2009
Last Update Date : 12/03/2009

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Directions to “ KONGIT GIRGIRO ” Practice Location

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